Application form for Re-activation of Credit Card

Customer Name ______________________________________________________________________

Existing Card No

Residential Address:
______________________________________________________________________________________________________
______________________________________________________________________________________________________
City/State__________________________ PIN___________________________________________
Tel.No.____________________________ Mobile No. / Pager No. __________________________ _
Email ID ___________________________
Company’s Name__________________________ Designation_________________________________
Company’s Address_____________________________________________________________________
_________________________________________________ City / State___________________________
PIN ______________________________________ Tel # _______________________________________

* Address Proof enclosed (Mandatory)

* ID Proof with Signature (Mandatory)
* Credit limit will be the same as of the old card account.

The list of address and ID proof is provided below:

List of Address proof:
Driving license - Passport - telephone bill – MTNL/BSNL & all WLL line bills, Electricity bill, Bank account statement, Ration card, Voter’s ID, Letter from the
society (only Registered societies) – on the letterhead which carries the society’s registration No. The letter should carry the applicant’s name & full
address as well as the signatories full name, designation (secretary President) and address., Monthly outgoing bill from Registered Housing society – on
the letterhead which carries the society’s registration No. (Maintenance charges receipt issued by the society Not acceptable), Registration
documents/Ownership proof copy, Lease deed, Senior citizens card from Indian Railways/Indian Airlines (if it has address), Mobile postpaid bill, Letter
from any recognized public authority (In original), Company ID card (Conditions apply), LIC premium receipt, Address confirmation by the corporate on
company letter head as valid address proof (Conditions apply), Gas Bill, Water Bill, Society Maintenance Bill, Property Tax Receipt

List of Id Proof
PAN Card – Passport – Driving License/Learner License (DL from Uttar Pradesh alone can be accepted without Signature) – Voters ID – Ration Card
(in Customer Name),
Company/Institution photo ID card – Student ID card – Club membership card (which carries customer photo),
Other Bank Card Photo Card – Insurance / Mediclaim Photo Card – Passbook with Photo,
Railway station pass ID – Government recognized, - Senior citizen ID – wherever applicable,
Government organization ID card with signature and photo

Declaration
I hereby request for the reissue of my HDFC Bank Credit Card and declare that the information included in this application is true and correct and that I am a Resident Indian
and that I am eligible to apply for a valid card. I accept that HDFC Bank is entitled in its absolute discretion to accept or reject this application, without assigning any reason
whatsoever. It is my responsibility to obtain the terms and conditions applying to the HDFC Bank Credit Card, separately and read the same. I may be bound by the terms
and conditions that may be in force from time to time and use / receipt of the card shall be deemed to acceptance of those terms and conditions. I authorize HDFC Bank or
its associates to verify any information or otherwise at my office / residence or to contact me / my employer / banker / credit bureau / RBI or any other source to obtain or
provide any information that may be required for confirming membership requirement or maintain my account in good credit rating.

Signature________________________________ Date : ______________________

Joining / Annual Fee (if any) will be applicable as earlier.

Please mail the form with document as mentioned above
To,
HDFC Bank Cards Division,
P.O Box No. 8654,
Thiruvanmiyur P.O.,
Chennai – 600 041